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It’s now widely known that taking a low-dose aspirin daily can help prevent heart attack and stroke. In fact, more than one-third of U.S. adults are believed to do so. But a lot of new research has been done since the first guidelines on aspirin therapy were published in 2002. In March 2009, The U.S. Preventive Services Task Force issued new guidelines for men and women of all ages clarifying who should pop an aspirin each day, and at what dose.
The new guidelines state that lower doses appear to be at least as effective as higher doses and safer at preventing heart attack and stroke. That’s an important change. Dosage has been a concern because aspirin increases risk for gastrointestinal bleeding, especially when taken in combination with the clot-dissolving drug clopidogrel (Plavix®).
The Task Force also states that aspirin seems to be more effective in men for preventing heart attack but better at preventing stroke in women. The new recommendations take this into account:
• Men aged 45 to 79 should take aspirin if the preventive benefits against heart attack outweigh the risk of bleeding.
• Women aged 55 to 79 should take aspirin if the odds of reducing a first ischemic stroke outweigh the chance of bleeding.
• Men under the age of 45 who have never had a heart attack and women under 55 who have never had a stroke should not take aspirin for prevention.
• It isn't clear whether patients age 80 and older should take aspirin.
These recommendations only apply to people who have never had a heart attack or stroke.
Be sure to discuss these new guidelines with your personal physician.
SOURCES: US Preventive Services Task Force; National Institutes of Health
46887 7/2009
The information provided is intended to help you make informed decisions. The Genworth Financial companies do not provide medical information, advice or recommendations. Consult your physician before making major changes in your lifestyle or health care regimen. Please note that Wellness partners, their products, services, and offers may change over time.
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